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SAMANTHA WASHINGTON LCSW
NPI 1588895072
Social Worker - Clinical in Jacksonville, FL

Active since July 31, 2009PECOS EnrolledAccepts Medicare Assignment
103 LANCASHIRE DR S, JACKSONVILLE, FL 32219(404) 623-5188 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jun 2, 2026, May 13, 2026, Aug 27, 2018 (3 updates tracked since 2018).

About Samantha Washington Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA WASHINGTON LCSW (NPI 1588895072) is an individual clinical provider in Jacksonville, Florida, licensed in Kentucky (253247) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1588895072
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSAMANTHA WASHINGTONCredential: LCSW
Location Address103 LANCASHIRE DR SJacksonville, FL 32219
Mailing Address103 Lancashire Dr SJacksonville, FL 32219 · (404) 623-5188
Phone(404) 623-5188
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 31, 2009
Last NPPES UpdateJune 2, 20263 updates tracked since enumeration
NPPES CertifiedJune 2, 2026
✔ NPI 1588895072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in KY · 253247
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
103 LANCASHIRE DR S, Jacksonville, FL 32219
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samantha Washington Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153673678
PECOS Enrollment IDI20260614000064
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32219 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $171.84
Typical copayment $0.00 (range $14.00 – $42.96)
Most-billed visit code NA
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Washington's NPI number?

The NPI number for Samantha Washington is 1588895072. It was assigned to this individual provider in the NPPES registry on July 31, 2009.

Where is Samantha Washington located?

Samantha Washington practices at 103 Lancashire Dr S, Jacksonville, FL 32219. The listed phone number is (404) 623-5188.

What is Samantha Washington's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Samantha Washington enrolled in Medicare?

Yes. Samantha Washington is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Samantha Washington was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.